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Tb medicine
I was detected by scanty tb so my medicines were started my weight is 80 kg so doctor said me to take 6 tablets each consisting of rifampicin 150mg,isoniazid 75mg , pyrazinamide 400mg,ethambutol 275mg. After 2 months I have gone to different doctor he reduced every drug and said this is overdose and long term very harmful so he gave rifampicin 600mg, isoniazid 300mg,ethambutol 1000 mg. Is it right and will it cure remaining bacterias
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Drug sensitive tb treatment traditionally consists of 6 months ATT, which includes 2 months of intensive phase with isoniazid, rifampicin, pyrazinamide, ethambutol and continuation phase of 4 months with isoniazid , rifampicin and ethambutol….. government medicines come as fixed dose combinations based on weight band where as private medicines come seperately…in your case either of the doctors can’t be said wrong, as literature says maximum tolerable dose of ethambutol to be taken as 600 mg , but if we prescribe based on fixed dose combinations weight band, ethambutol dose goes much higher… and the reason why dose was reduced after 2 months is - you were shifted from intensive phase to continuation phase..
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In treatment of tuberculosis initially 4 drugs are given that is isoniazide, rifampicine , pyrizinamide and ethambutol. After 2 month pyrizinamide is not given..so you will be prescribed isoniazide, rifampicine and ethambutol is given...i think isoniazide and rifampicin is fine but ethambutol should be given minimum of 1200 mg ( if 80 kg weight)
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if you are clinically improving nothing to be done...you can continue with this regimen if symptoms are improving..no need to worry
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meds are given according to rekative dosing..kindly share all reports and xrays
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl consult tb centre. The drug’s are given free and of standard quality. The dosage of tb medicines are wt dependent. Pl take regularly.
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Dr. Sivaraj Karri
Pulmonologist
10 yrs exp
Kakinada
After 2 months pyrazinamide will be stopped
The individual dosage is not approprite
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.